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This is VAERS ID 59281

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 59281
VAERS Form:
Age:59.8
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: APNEA, DYSPNEA, HEART ARREST, CEREBROVASC ACCID, ARRHYTHMIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type':

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 12/8/2009

VAERS ID: 59281 Before After
VAERS Form:
Age:59.8
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-29 1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Unknown Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise, APNEA, DYSPNEA, HEART ARREST, CEREBROVASC ACCID, ARRHYTHMIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': (blank) AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 8/31/2010

VAERS ID: 59281 Before After
VAERS Form:
Age:59.8
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 7/7/2013

VAERS ID: 59281 Before After
VAERS Form:
Age:59.8
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 12/14/2016

VAERS ID: 59281 Before After
VAERS Form:
Age:59.8
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 2/14/2017

VAERS ID: 59281 Before After
VAERS Form:
Age:59.8 59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 5/14/2017

VAERS ID: 59281 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 9/14/2017

VAERS ID: 59281 Before After
VAERS Form:(blank) 1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 0 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 2/14/2018

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 6/14/2018

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 8/14/2018

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 9/14/2018

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 10/14/2018

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 12/24/2020

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

Changed on 12/30/2020

VAERS ID: 59281 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Alabama
Vaccinated:1993-10-28
Onset:1993-10-28
Submitted:1993-11-15
Entered:1994-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938149 / 1 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Apnoea, Arrhythmia, Cardiac arrest, Cerebrovascular accident, Dyspnoea, Hypokalaemia, Hypoxia, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: diabetes, hypokalema, COPD, old CVA
Preexisting Conditions: diabetes, hypokalemia, COPD, old CVA;
Allergies:
Diagnostic Lab Data: COD cardiorespiratory arrest secondary dx CVA, arrythmia; K-3.3; Creat 0.5; WBC 9.6; HCT 39.0; PO2 48.8; PC02 46.0;
CDC 'Split Type': AL9353

Write-up: pt recvd vax & pt did not feel well; denies chest pain; phone call from family @ 345; pt having trouble breathing; instructed to call 911 or transport to ER arrived ER 444PM; PO2 48.8, Co2 46.0; K 3.3; creact 5; resp sx cont to worsen;

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